Author: William Wilson, Hesham Ibrahim / Editor: Sarah Edwards / Codes: CP1, SLO5, SLO9 / Published: 12/01/2023
A 17-year-old girl presents to the Emergency Department (ED) with chest pain. Her chest pain is intermittent, non-radiating, dull aching, does not having any aggravating factors and resolved spontaneously.
On examination she is found to be afebrile, HR of 86 bpm, RR 14 cycles/min, BP of 90/60mm Hg and a Spo2 99% on room air.
As a part of her workup an ECG is requested and is shown below.

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What will be your top 2 possible interpretations to this rhythm?
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What can you do to amplify the P waves if there are any?
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7 responses
very good teaching. I have heard of the Lewis lead placement, but would have to check on how to do it.
interesting and not something I have seen before
amazing knowledge,learning never cease if the mind is willing
I loved that
Amazing LITFL as well
nice case and discussion
Interesting. have heard of Lewis lead placement but never done before
Great Revision